Traditional Chinese Eight Brocade Exercise Prescription for Ankylosing Spondylitis: A Quantitative Synthesis

Author: Yang-Yang Zou 1, Han-Yi Zhang 1, Liang Xue 1, Jing-Jing Ye 2, Guang-Yong Hu 3
1 Department of Acupuncture and Moxibustion, Nanjing Qinhuai District Hospital of Traditional Chinese Medicine, Nanjing, China.
2 Department of Traditional Chinese Medicine, Affiliated Geriatric Hospital of Nanjing Medical University, Nanjing, China.
3 Department of Traditional Chinese Medicine, Jiangyin Lingang Hospital, Jiangyin, China,
Conference/Journal: Complement Med Res.
Date published: 2020 May
Other: Volume ID: 28 , Pages: 1-5 , Word Count: 238

PMID: 32464629 DOI: 10.1159/000505312

Abstract in English , German

Introduction: The aim of this research was to assess the safety and effectiveness of traditional Chinese Eight Brocade exercise for ankylosing spondylitis (AS).

Methods: A literature search was conducted using twelve databases (Web of Science, EBSCO, AMED, SCOPUS, CINAHL, MEDLINE, EMBASE, DBPIA, KoreaMed Synapse, Oriental Medicine Advanced Searching Integrated System, Chinese Wan Fang, and China National Knowledge Infrastructure) from inception to June 2019. We only included randomized controlled trials (RCTs) regarding traditional Chinese Eight Brocade exercise for AS. For statistical analysis, we adopted a quantitative analysis using the RevMan 5.3 statistical software.

Results: Five eligible RCTs involving 308 participants were included in the systematic review. The meta-analysis showed superior effects of traditional Chinese Eight Brocade exercise plus NSAIDs therapy on response rate, Bath Ankylosing Spondylitis Functional Index, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), inflammatory indicators, and bone mineral density when compared with NSAIDs therapy alone (p < 0.05). Moreover, when used alone, traditional Chinese Eight Brocade exercise significantly improved fatigue, intensity of morning stiffness domains, and duration of morning stiffness domains of BASDAI scores in comparison to waiting list controls (p < 0.05).

Conclusion: Traditional Chinese Eight Brocade exercise could improve physical function and reduce disease activity and inflammatory indicators in AS patients. However, the level of evidence was low because of the high risk of bias. Further rigorously designed RCTs are warranted before it can be recommended.

Keywords: Ankylosing spondylitis; Eight Brocade exercise.

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